Provider Demographics
NPI:1487028478
Name:CARLTON, CLAIRE ALEXANDRA (RD, LDN)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ALEXANDRA
Last Name:CARLTON
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 KAIULANI AVE APT 904
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3044
Mailing Address - Country:US
Mailing Address - Phone:352-284-2444
Mailing Address - Fax:
Practice Address - Street 1:225 KAIULANI AVE APT 904
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3044
Practice Address - Country:US
Practice Address - Phone:352-284-2444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-14
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
259-LD133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered